Norzila M Z, Hasanah I, Deng C T, Azizi B H
Hospital Universiti Kebangsaan Malaysia, Institut Pediatrik, Hospital Kuala Lumpur, 50580, Kuala Lumpur.
Med J Malaysia. 2000 Sep;55(3):324-30.
The objective of this study was to measure the knowledge of childhood asthma among medical students and paramedics. A previously validated questionnaire about childhood asthma was completed by 281 of 314, third and fifth year medical students at Universiti Kebangsaan Malaysia, Kuala Lumpur. Their knowledge of asthma was assessed during the first and last weeks of their paediatric rotation. A similar questionnaire was completed by 23 of 60 paramedics from various medical disciplines in Hospital Kuala Lumpur. They had attended a two-day seminar on respiratory diseases and their knowledge was assessed prior to and six weeks after the seminar. On the initial assessment the mean score for the final year medical students was 24.5, third year medical students 20.9 and paramedics 18.3. After intervention their mean scores increased significantly to 26.3 (p < 0.0001), 24.6 (p < 0.0001) and 21.3 (p < 0.0001). After intervention, the final year medical students improved significantly in all questions except in the management of acute asthma. Post intervention, third year medical students showed a significant increase in knowledge pertaining to symptomatology, pathophysiology, trigger factors and prophylactic drugs used in asthma management. Although the knowledge of paramedics improved post intervention, they had major deficiencies in knowledge about pathophysiology, trigger factors, preventive and acute asthma therapy, side effects of asthma treatment as well as clinical scenarios. Improvement after intervention was only seen in six of the 31 questions. This study demonstrated an increase in knowledge about childhood asthma among medical students and paramedics after a short intervention.
本研究的目的是测量医学生和护理人员对儿童哮喘的了解程度。马来西亚吉隆坡马来西亚国民大学的314名三年级和五年级医学生中，有281人完成了一份先前经过验证的关于儿童哮喘的问卷。在他们儿科轮转的第一周和最后一周评估了他们对哮喘的了解。吉隆坡医院60名来自不同医学学科的护理人员中有23人完成了一份类似的问卷。他们参加了一个为期两天的关于呼吸系统疾病的研讨会，并且在研讨会之前和之后六周评估了他们的知识。在初始评估中，最后一年医学生的平均分数为24.5分，三年级医学生为20.9分，护理人员为18.3分。干预后，他们的平均分数显著提高到26.3分（p<0.0001）、24.6分（p<0.0001）和21.3分（p<0.0001）。干预后，最后一年医学生除了在急性哮喘的管理方面外，在所有问题上都有显著提高。干预后，三年级医学生在与哮喘管理中症状学、病理生理学、触发因素和预防性药物相关的知识方面有显著增加。虽然护理人员的知识在干预后有所提高，但他们在病理生理学、触发因素、预防和急性哮喘治疗、哮喘治疗的副作用以及临床情景方面存在重大知识缺陷。干预后仅在31个问题中的6个问题上看到了改善。这项研究表明，经过短期干预后，医学生和护理人员对儿童哮喘的了解有所增加。
